Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Professional		$100.03	$100.03	$100.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.83 / $229.83 / $229.83	Facility		$229.83	$229.83	$229.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.15 / $170.15 / $318.24	Professional		$170.15	$170.15	$318.24
HMSA Facility/Professional Professional Modifier Low / Median / High Price $289.31 / $302.94 / $302.94	Professional		$289.31	$302.94	$302.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.59 / $289.31 / $405.03	Professional		$173.59	$289.31	$405.03
United Facility/Professional Professional Modifier Low / Median / High Price $155.86 / $229.83 / $318.24	Professional		$155.86	$229.83	$318.24
University Health Alliance Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $233.05 / $275.37	Professional		$126.53	$233.05	$275.37